Asgharnia Maryam, Faraji Roya, Salamat Fatemeh, Ashrafkhani Babak, Dalil Heirati Seyedeh Fatemeh, Naimian Samira
Reproductive Health Research Center, Department of Obstetrics and Gynecology, Guilan University of Medical Sciences, Rasht, Iran.
Vice-chancellorship for Research, Guilan University of Medical Sciences, Rasht, Iran.
Iran J Reprod Med. 2013 Sep;11(9):705-10.
Amniotic fluid is an indicator of placental function on the fetal development. The amniotic fluid index is the most commonly used method of measuring amniotic fluid.
The purpose of this study was to compare the pregnancy outcomes of a borderline versus normal AFI.
This cross-sectional study was carried out on a total of 235 pregnant women referred to Alzahra Medical Center between 2009-2011. Women with a singleton pregnancy in third trimester were enrolled into this study; of these subjects, 141 cases were in normal AFI group and 94 cases in borderline AFI group. Adequate information was obtained from the patients' medical record and the groups were compared on maternal and fetal complications. Data analysis was performed by using SPSS.
The mean maternal age in borderline AFI group was 25.96±5.92 years and in normal AFI group was 27.88±6.5 years (p=0.023). Maternal outcomes such as preterm delivery and labor induction in women with borderline AFI were considerably higher than those in normal group (p=0.01 and p=0.001). There were no significant differences between the two groups in terms of high blood pressure, preeclampsia, diabetes and neonatal respiratory distress. The borderline AFI group had higher rate of neonatal complications such as Apgar score of less than 7 (p=0.004), IUGR (0.0001), LBW (0.001), and crucial need to NICU (0.003).
Findings indicated that there are statistical differences between adverse outcomes in borderline AFI group and normal group. This article extracted from M.D. thesis. (Samira Naimian).
羊水是胎儿发育过程中胎盘功能的一个指标。羊水指数是测量羊水最常用的方法。
本研究的目的是比较临界羊水指数与正常羊水指数的妊娠结局。
本横断面研究共纳入2009年至2011年间转诊至阿尔扎赫拉医疗中心的235名孕妇。纳入妊娠晚期单胎妊娠的妇女；其中，141例为正常羊水指数组，94例为临界羊水指数组。从患者病历中获取充分信息，并比较两组的母婴并发症。使用SPSS进行数据分析。
临界羊水指数组孕妇的平均年龄为25.96±5.92岁，正常羊水指数组为27.88±6.5岁（p=0.023）。临界羊水指数组妇女的早产和引产等母儿结局显著高于正常组（p=0.01和p=0.001）。两组在高血压、先兆子痫、糖尿病和新生儿呼吸窘迫方面无显著差异。临界羊水指数组新生儿并发症发生率较高，如阿氏评分低于7分（p=0.004）、胎儿生长受限（0.0001）、低出生体重（0.001）以及重症监护病房的紧急需求（0.003）。
研究结果表明，临界羊水指数组与正常组的不良结局存在统计学差异。本文摘自医学博士论文。（萨米拉·奈米安）
